Lusine Mkhitaryan
Nurse Practitioner, Primary Care in Glendale, CA. Individual provider (NPI-1).
NPI number1104750702
StatusActive
Last updated in NPPESJun 9, 2026
Details
- NPI
- 1104750702
- Entity type
- Individual (NPI-1)
- Name
- Lusine Mkhitaryan
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 9, 2026
- Certification date
- Jun 9, 2026
- Last updated
- Jun 9, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | 95039750 | CA | Yes |
Practice location
519 E BroadwayGlendale, CA 91205-1110
Phone 818-409-2030
Mailing address
519 E BroadwayGlendale, CA 91205-1110
Phone 818-409-2030
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